| Details of person responsible for booking and paying for this event |
|
Name
|
| |
Jorette Boshoff
|
|
Email
|
| |
JoretteBoshoff@gmail.com
|
|
Mobile Number
|
| |
+27849801815
|
|
Address
|
| |
206 Woodville
Moreletapark
Moreletapark, Pretoria Gauteng
South Africa
Map It
|
|
Online Indemnity Form
|
| |
 I/We agree to the terms and conditions set out in this indemnity form
|
| Details of Event Attendees |
|
Attendee List
|
| |
|
Name
|
| |
Jorette Boshoff
|
|
Email
|
| |
JoretteBoshoff@gmail.com
|
|
Mobile Number
|
| |
+27849801815
|
|
Age
|
| |
57
|
|
Gender
|
| |
Female
|
| Section Break |
|
Attendee Reference
|
| |
A-FC-PTA2025-548b4
|
|
Send Notification
|
| |
1
|
|
Order
|
| |
| Product |
Qty |
Unit Price |
Price |
|
Day Visitor @ R 120 per day (Meals can be purchased as optional)
|
1 |
R0.00 |
R0.00 |
Days
- Select the Days that you want to attend: Friday – R 120 per person, per day
|
1 |
R120.00 |
R120.00 |
|
Meals
|
1 |
R0.00 |
R0.00 |
| |
Sub Total |
R120.00
|
| |
Total |
R120.00 |
|
|
|
Name
|
| |
Jan Boshoff
|
|
Email
|
| |
JoretteBoshoff@gmail.com
|
|
Mobile Number
|
| |
+27849801815
|
|
Age
|
| |
57
|
|
Gender
|
| |
Male
|
| Section Break |
|
Attendee Reference
|
| |
A-FC-PTA2025-6a190
|
|
Send Notification
|
| |
1
|
|
Order
|
| |
| Product |
Qty |
Unit Price |
Price |
|
Day Visitor @ R 120 per day (Meals can be purchased as optional)
|
1 |
R0.00 |
R0.00 |
Days
- Select the Days that you want to attend: Friday – R 120 per person, per day
|
1 |
R120.00 |
R120.00 |
|
Meals
|
1 |
R0.00 |
R0.00 |
| |
Sub Total |
R120.00
|
| |
Total |
R120.00 |
|
|
|
|
Booking Reference
|
| |
B-FC-PTA2025-43e5f
|
|
Order
|
| |
| Product |
Qty |
Unit Price |
Price |
|
Total Booking Price
|
1 |
R240.00 |
R240.00 |
| |
Sub Total |
R240.00
|
| |
Total |
R240.00 |
|